Individual
PENNY BOHAC-CARDELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6 STATE ST STE 604, BANGOR, ME 04401-5140
(207) 942-8767
Mailing address
PO BOX 1328, AUBURN, ME 04211-1328
(207) 784-9185
(207) 784-1594
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC572
ME
Other
Enumeration date
11/09/2006
Last updated
07/09/2007
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